The Coding and Documentation Specialist reviews clinical documentation and coding to ensure services are accurately documented, coded, and submitted in accordance with federal, state, payer, and organizational requirements.
This role works closely with clinicians, billing, and other departments to improve documentation quality, support complete charge capture, reduce coding-related denials, and help ensure accurate and timely reimbursement. The specialist also serves as a resource to clinicians on documentation and coding requirements and helps identify opportunities to improve coding accuracy and revenue cycle performance.
Minimum Qualifications
- Bachelor's degree or equivalent combination of education and experience.
- CPC certification required.
Knowledge, Skills, and Abilities
- Strong knowledge of ICD-10-CM, CPT, HCPCS, and modifier guidelines.
- Knowledge of E/M coding and documentation requirements.
- Understanding of Medicare, Medicaid, and commercial payer billing requirements.
- Knowledge of coding compliance and medical necessity requirements.
- Ability to interpret clinical documentation and determine whether reported codes are supported.
- Strong analytical, problem-solving, and communication skills.
- Ability to research complex coding and payer issues.
- Ability to identify trends and recommend corrective actions.
- Proficiency with electronic health record and practice management systems.
- Ability to maintain confidentiality and handle protected health information appropriately.
Preferred Qualifications
- NextGen experience is a plus.
For information regarding benefits, applicants are directed to the employer's benefits page.
- TRS eligible retirement participation
- Full-time schedule, Monday through Friday, 8:00 AM to 5:00 PM
Location
Fort Worth, Texas, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
No
Posted
1 month ago